Spoon River Family Practice Center, INC

NPI #1437268604 in Canton, Illinois

Provider Information

NPI Number: 1437268604
Entity Type: Organization
Organization Name: Spoon River Family Practice Center, INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 45 E SIDE SQ
Address 2: SUITE 102
City: Canton
State: Illinois
ZIP Code: 61520-2671
Phone: (309) 647-9980

Authorized Official

Name: DR. LINDA KAY FORESTIER, M.D.
Title: PRESIDENT
Phone: (309) 647-9980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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